Circle F Dude Ranch 5301 Dude Ranch Road Lake Wales, FL 33898 Phone: (863) 676-4113 To the parents of Sierra Poleon 6100 Red Hook Quarter Suite B3 St. Thomas 00802 Virgin Islands Sierra Poleon Charges Date Description Amount 05.1115 SS2 2015 Tuition $3,500.00 05.1115 SS2 Excursion $160.00 05.1115 SS3 Tuition $3,500.00 05.1115 SS3 Excursion $160.00 05.1115 SS2 Other Credit ($320.00) 05.1115 SS3 Multiple Credit ($165.00) FEIN: 59-3615676 Statement of Account May 13, 2015 Total: Payments Date Description Amount 05.13.15 American Express $1,000.00 $6,835.00 Total: Total Due by May 1st $1,000.00 Total Charges: Payments: Amount Due: $6,835.00 $1,000.00 $5,835.00 EFTA01121237